Healthcare Provider Details

I. General information

NPI: 1053908699
Provider Name (Legal Business Name): RUSLAN GARCIA PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14305 S DIXIE HWY
MIAMI FL
33176-7225
US

IV. Provider business mailing address

14305 S DIXIE HWY
MIAMI FL
33176-7225
US

V. Phone/Fax

Practice location:
  • Phone: 786-701-9146
  • Fax: 786-701-9161
Mailing address:
  • Phone: 786-701-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59832
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: